Right Paraduodenal Hernia Causing Small Bowel Obstruction in an Adult with Down Syndrome: A Rare Case Report

Out of all internal hernias, Paraduodenal Hernia (PDH) is the variety but in PDH right sided one is not that common. In down syndrome, morgagni hernias are often seen as compared to right PDHs. This is a known case of down syndrome presented with chief complaints of abdominal pain, nausea, vomiting and abdominal distension since 2 days. Patient was surgically managed for the right PDH and later re-explored for adhesive intestinal obstruction on postoperative day 12 and later presented with small bowel obstruction symptoms due to adhesions and hence, relaprotomy for postoperative adhesive obstruction was performed. Right PDH is a rare entity encountered in down syndrome which makes it even rare.